DAVID LIPSCOMB UNIVERSITY Catalog Year

DAVID LIPSCOMB UNIVERSITY Catalog Year ______DECLARATION OF MAJOR-MINOR

Name ID Number L Last First Middle Maiden Date GPA Total Hours (Including hours transferred from ) List all required courses. List grades for completed courses. Where grade space is circled the requirement is yet to be completed. I. General Education Requirements Grades Bible BI 105V, BI 106V ( ) ( ) Social Science (include one History): ( ) ( ) LU Seminar or Comp and Reading I___ ( ) Mathematics ( ) Comp and Reading II______( ) Biological Science: Lab ( ) ( ) Intro to Communication______( ) Physical Science: Lab ( ) ( ) Humanities: (include one literature): ( ) ( ) WC: CM 2221 CM3414 ( ) ( )

Physical Education (activity courses): ( ) ( ) ( ) ( ) II. BA/BS Requirements B.S. Degree: Additional Math/Science ( ) ( )

B.A. Degree: Foreign Language ( ) ( )

Registrar Date

III. Proposed Minor: Course No. Title Grade Course No. Title Grade ( ) ( )

( ) ( )

Signature of Department Chair Signature of Dean* *Dean's signature required for distributive minor only. IV. Proposed Major:Biochemistry Course No. Title Grade Course No. Title Grade CM 1113 Gen. Chem. I ( ) CM 3613 Inorg. Chem. ( ) CM 1123 Gen. Chem. II ( ) CM 4613 Advanced Biochemistry ( ) CM 1211 Gen. Chem. Lab I ( ) CM 4911 Chemical Literature ( ) CM 1221 Gen. Chem. Lab II ( ) CM 4921 Chemical Seminar ( ) CM 2113 Organic Chem. I ( ) BY 1134 Prin. of Bio: Cell & Genetics ( ) CM 2123 Organic Chem. II ( ) BY 2114 Cell Biology ( ) CM 2211 Organic Chem. Lab I ( ) BY 3114 Genetics ( ) CM 2221 Organic chem. Lab II ( ) BY 4013 Molecular Biology ( ) CM 2314 Analytical Chem. ( ) BY ______( ) CM 3713 Intro. to Physical Chem. ( ) CS 1041 Comp. App.-Math/Science ( ) CM 3313 Biochemistry ( ) MA 1314 Calculus I ( ) CM 3321 Biochemistry Lab ( ) MA 2314 Calculus II ( ) CM 3414 Inst. Methods of Ana. ( ) PH 2414 Gen. Physics I ( ) PH 2424 Gen. Physics II ( )

I understand that I must meet all the course requirements listed on this form and have a total of 132 semester hours before I may be considered for graduation. I also understand that any changes in the major-minor Signature of Department Chair Date declaration will require written permission from the department chair.

Name of advisor L Number of advisor

Signature of Student Date